Abstract
A true aneurysm of the right aortic arch which accompanies various branching characteristics is very rare. We report herein the successful surgical treatment of an elderly patient found to have an Edwards type IIIB right aortic arch aneurysm encircling and compressing the trachea. The complete right aortic arch and right subclavian artery were reconstructed through the inside of the aneurysm using selective cerebral perfusion. The patient recovered well, with no residual neurologic deficit and with resolution of the dyspnoic attacks he had suffered preoperatively.
Similar content being viewed by others
References
James RS, Owings WK, Jack LT (1966) Right aortic arch: plain film diagnosis and significance. Am J Roentgenol 97:377–389
Jacques AM, Paul RJ, Donald JH, Eugene KW, Francisco JP, Hartzell VS, Gordon KD (1994) Imaging strategies for vascular rings. Ann Thorac Surg 57:604–610
Peter R, Stephen P, Buja LM, Aaron E, Lawrence M, James A, James W (1979) Dissecting aortic aneurysm involving a right-sided aortic arch. Am J Cardiol 44:381–384
Paul KK, Melissa RS, Katherine N (1994) Left-sided esophageal indentation in right aortic arch with aberrant left subclavian artery. Radiology 191:565–567
Edouard K, Amine B, Fabien K (1994) Aberrant subclavian artery: surgical treatment in thirty-three adult patients. J Vasc Surg 19:100–111
Peter SM, Otto ED, Ali MS, Cid SQ, Randall BG (1994) Aortic dissection involving a double aortic arch with a right descending aorta. Ann Thorac Surg 58:874–875
Ohteki H, Itoh T, Watanabe Y, Ueno T, Minato N, Natsuaki M (1987) A dissecting aneurysm involving a right-sided arch, right descending aorta and mitral regurgitation. Thorac Cardiovasc Surgeon 35:235–237
Zelikovsky A, Vidne B, Levy MJ (1974) Mirror-image dextrocardia with situs inversus and coarctation of the aorta Chest 66:297–299
Author information
Authors and Affiliations
Rights and permissions
About this article
Cite this article
Wakiyama, H., Okada, M., Yamashita, C. et al. Successful surgical treatment of an Edwards type IIIB right aortic arch aneurysm: Report of a case. Surg Today 28, 1098–1101 (1998). https://doi.org/10.1007/BF02483972
Received:
Accepted:
Issue Date:
DOI: https://doi.org/10.1007/BF02483972